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1. A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make? A. "We will call your family in time for them to get here." B. "I wonder if you are fearful of dying alone." C. "I will make sure a staff member is in your room at all times." D. "I will tell your family of your concern so that they can be here." Answer: B. ...

1. A nurse is reviewing the laboratory results for a pregnant client at 12 weeks of gestation. Which of the following laboratory results would the nurse report to the provider? A. Hemoglobin 11.5 g/dL B. Rubella titer 1:8 C. Platelets 85,000/mm³ D. White blood cell count 12,000/mm³ Answer: C. Platelets 85,000/mm³ *Rationale: A platelet count of 85,000/mm³ is low (thrombocytopenia) and could indicate a potential bleeding disorder or preeclampsia. The provider should be notif...

1. A nurse is assessing a 12-month-old infant during a well-child visit. Which of the following findings should the nurse expect? A. Anterior fontanel is open B. Birth weight has doubled C. Infant can walk independently D. Infant has a pincer grasp Answer: D. Infant has a pincer grasp *Rationale: By 12 months, an infant should have developed a pincer grasp (using thumb and forefinger). The anterior fontanel closes by 12-18 months. Birth weight should have tripled by 12 months, ...

1. A nurse is preparing to administer a medication to a client. Which of the following actions should the nurse take first to ensure proper identification of the client? A. Check the client's room number B. Ask the client to state their name and date of birth C. Verify the client's name on the medication administration record D. Call the client by name and wait for a response Answer: B. Ask the client to state their name and date of birth Rationale: The nurse should use two...

1. A nurse is teaching a client about the functions of carbohydrates. Which of the following should the nurse identify as the primary function of carbohydrates? A. Tissue repair and building B. Hormone production C. Providing energy for the body D. Insulating nerve fibers Answer: C. Providing energy for the body *Rationale: The primary function of carbohydrates is to provide energy for the body, with a recommended intake of 130g/day for adults and children, making up 45%-65% of ...

1. A nurse is caring for a client who reports that she has changed her mind and no longer wants the surgery that she discussed earlier with the surgeon. Which of the following actions should the nurse take? A. Ask a family member to convince the client to have the surgery B. Explain to the client that she already signed the consent form C. Tell the client that the surgery will help her and she should proceed D. Notify the provider that the client is withdrawing consent Answer: D. N...

1. A nurse is explaining the primary focus of community health nursing to a group of nursing students. Which of the following statements should the nurse make? A. "The focus is on providing acute care to individuals in their homes." B. "The focus is on promoting and protecting the health of populations." C. "The focus is on managing chronic illnesses in long-term care facilities." D. "The focus is on assisting surgeons during procedures in hospitals." Answer: ...

1. A nurse is assessing a client who has heart failure. Which of the following findings should the nurse expect? A. Dry cough and weight loss B. Peripheral edema and jugular vein distention C. Flat neck veins and increased appetite D. Bradycardia and hypotension Answer: B. Peripheral edema and jugular vein distention Rationale: Peripheral edema and jugular vein distention are classic signs of right-sided heart failure due to fluid accumulation. Left-sided failure typically presen...

CHIEF COMPLAINT (CC) "I've had this red rash on my stomach and back for the past three days, and it's starting to spread. It’s really itchy." 2. HISTORY OF PRESENT ILLNESS (HPI) Onset: The rash began approximately 3 days ago. It started on the lower abdomen as a few small, red bumps. Location: Initially on the abdomen, now has spread to the f

SOAP Note Patient Name: i-Human Case Week #2 Age: 25 years Sex: Female Height: 5'5" (165 cm) Weight: 120 lb (54.5 kg) Location: Outpatient clinic with x-ray, ECG, and laboratory capabilities Chief Complaint: “I have a new rash.” S — Subjective Chief Complaint (CC) New rash for several days. History of Present Illness (HPI) 25-year-old female presents with a complaint of a new rash that began approximately 3–5 days ago. The patient reports that the rash sta...